Health & lifestyle magazine
August 2011
Sweet Dreams
Sleep Better to Live Well
What’s the Emergency?
When to Go to the E.D.
(And Safety Tips to Avoid It)
COMING HOME
The Increasing Importance of Primary Care
Edward J. Zampella, MD, FACS
Brian D. Beyerl, MD, FACS
John J. Knightly, MD
Jonathan J. Baskin, MD, FACS
Jay Y. Chun, MD, PhD
Ronald P. Benitez, MD
David Wells-Roth, MD
Atlantic
NeuroSurgical
Specialists
is aligning
to bring you
unsurpassed
neurosurgical care
with our
newest addition,
Dr. Meyer,
specializing
in deformities
and scoliosis
of the spine.
Igor Ugorec, MD
Kyle T. Chapple, MD
Paul S. Saphier, MD
Scott Meyer, MD
Joseph Rempson, MD
Albert Telfeian, MD, PhD
Atlantic NeuroSurgical Specialists
310 Madison Avenue, Morristown, NJ 07960
3700 Route 33, 2nd Floor, Neptune, NJ 07753
Joelle Stabile Rehberg, DO
973.285.7800 | 732.455.8225
www.atlanticneurosurgical.com
OVERLOOK
View From the Top
Vo l u m e
7 ,
I s s u e
6
Overlook Hospital Staff
John Rosellini
Director, Business Development
Start
turning heads.
Joyce Passen
Manager, Community Health
Diane Fischl
Manager, Physician Relations
Tom Woodard
Manager, Physician Relations, Imaging
Gina Carro
Manager, Physician Relations, Oncology
Each generation of physicians is charged with the task of building upon the knowledge of
the generations that preceded it. As a result, we know more about the human body—how to
nurture it and protect it, fix it and cure it—than ever before. We’re fortunate to live in a time—
and in a community—when healthcare is so advanced. There is a diagnostic device, treatment
tool, and specialist for most every area. The role specialists play, and the depth of their
expertise, cannot be diminished, but neither can we diminish the importance of primary care.
Primary care physicians—general internists, general pediatricians, and family physicians—
should be every patient’s initial point of contact. They fill a niche that most specialists cannot,
serving as a medical “home” to all of your healthcare needs, pointing you in the direction of
a specialist when you need one and putting together the parcels of your personal healthcare
landscape in a way that no one else can. Still, too many people go without primary care.
If you’re one of them, turn to “A Strong Foundation” on page 10, where the importance
of primary care is laid bare. Then read further, and in “The Family Business” you may be
surprised to learn about the function of family physicians, a subset of primary care doctors
who care for patients of all ages, from newborns to the elderly. We are proud to announce that
Overlook’s own Robert Eidus, MD, has been elected president of the New Jersey Academy of
Family Physicians, an organization dedicated to advancing the specialty of family medicine
through education and advocacy, and Susan Kaye, MD, has been recognized as the group’s
Family Physician of the Year. We are also proud to announce that Marc Mandel, MD,
Overlook’s vice chairman of the Department of Surgery, has been named Teacher of the Year
by the class of surgical chief residents he has taught and mentored. And we are overjoyed
to report that Overlook has completed its most recent survey by the Joint Commission—an
independent group that accredits and certifies more than 19,000 healthcare organizations and
programs in the United States—and the Commission has cited the hospital as among the best
it has seen. The Commission credited Overlook for being committed to patient safety and
for being great advocates for our patients, and the survey team identified at Overlook eight
best practices that they will use in future surveys of other institutions. These distinctions
are a reflection of the manner in which every member of the Overlook family is committed
to excellence, continuing a long-standing tradition of unparalleled quality that has been a
hallmark of the hospital for generations.
Sincerely,
Alan Lieber
President
Elizabeth Newell
Manager, Physician Relations,
Cardiovascular Services
We know that it all comes down to how you feel about how you look.
When correcting vein problems, a woman wants the absolute best! The best
doctors…the best treatments…the best surroundings…That is what The Vein
Center is all about.
Thomas Quigley
Physician Relations & Business Development
Overlook View is mailed directly to over 90,000
homeowners in select demographic areas of Union,
Essex, Morris, and Somerset counties in NJ. Overlook
View is published ten times throughout the year.
Editorial inquiries and calendar information can be
sent to:
The Vein Center is the only facility of its kind staffed exclusively by Vascular
Surgeons…the doctors most qualified to treat vein problems. All of our
physicians are Board Certified Vascular Surgeons and nationally recognized as
experts in the field of venous disease.
Our physicians have been included in New York and New Jersey magazines’
BEST DOCTORS list since 1999!
Overlook Medical Center/Overlook View
99 Beauvoir Avenue
Summit, NJ 07901
email: [email protected]
Our facility is fully equipped to provide a personalized treatment plan
for you:
To be added or removed from the mailing list, please
call (908) 389-0060 ext. 111 or email your address
with ADD or REMOVE in the subject line to:
• Sclerotherapy (injections for spider veins)
• Laser treatment
• Surgical removal (depending on your needs)
[email protected]
And, the environment created is a comfortable, caring one that our
patients appreciate.
For more information regarding advertising rates,
schedules, and subscriptions:
Rest assured…no matter what your vein problem is…there is no better place
for treatment than The Vein Center.
[email protected]
The views expressed in columns appearing in
Overlook View are not necessarily the views of the
publisher. Although every effort is made to present
accurate information, schedules, hours, prices, or
other materials are subject to change and
not guaranteed.
The information contained within this magazine
and Website is not intended as a substitute for
professional medical advice, for which your
physician is your best choice. The information in the
articles, Website, or the sites to which it links should
not be used as the basis for diagnosing or treating
any medical condition. Reproduction of Overlook
View in whole or in part without written permission
from the publisher is prohibited. Copyright ©2011.
All rights reserved.
T H E
V E I N
Clifford Sales, MD | Jonathan Levison, MD | Salvador Cuadra, MD
Westfield • Clifton • Springfield
973-740-1400 • theveincenternj.com
4 | August 2011
www.overlookview.com
C E N T E R
c on ten t s
Aug ust 2011
ON THE COVER
The Sleuth Squad
Doctors at Overlook’s new Institute for Rheumatic and
Autoimmune Diseases help patients cope with often
mysterious disorders, providing new options in
rheumatic health.
features
10
A Strong Foundation
The importance of primary care.
14
The Family Business
Would you be wise to seek out a
family physician?
28On Call
18
Photographer Patricia Doles captured the seaside image
on this month’s cover. Patricia specializes in family portraits
set against the natural beauty of the beach and bayfront of
Lavallette, NJ. From children and engagement photos to
extended families and intimate weddings, her work also
includes other unique locations and studio sessions.
See more at www.patdoles.com.
When to seek help at the Emergency Department.
32Safe at Home
Avoid common pitfalls, and enjoy the pleasures
of the summer season.
34On the Road Again
Put some mettle to your pedal and get on a bike!
36 Head of the Class
A top surgeon is honored for his standout ability to
teach the up-and-coming generation of surgeons
everything he knows.
40Essential Sleep
The key to a life well lived may lie in the way you
spend your time in dreamland.
Columns
24Community Health Calendar
44Kaleidoscope
48News & Views
50Photo 101
52Culinary Corner
54Foundation Happenings
Overlookview.com | 7
Scan this tag to learn more about the
all new 2012 Mercedes-Benz CLS.
Don’t have Tag? Visit http://gettag.mobi to download it today.
A STRONG
Foundation
If you don’t have a primary care physician,
you may be short-changing your health.
Your primary care physician
should be considered your
medical home—the person
who identifies illness and
disease and leads your
preventive care, taking
charge of immunizations
and screenings.
10 | August 2011
We’re fortunate to live in region where health awareness and access to
medical care are unparalleled. As a population, we’re more in tune with
signs and symptoms that may point to a problem, more knowledgeable
about what we need to do to safeguard our health, and we have more
options than ever before for securing quality healthcare. But if you’re
like many adults, you may have compartmentalized your care, seeing
a different specialist for each problem that arises—and you might be
missing an essential piece of the healthcare puzzle.
Primary care physicians—the group of doctors consisting of general
internists, general pediatricians, and family physicians—should serve as
the first point of contact for the delivery of comprehensive healthcare,
explains Susan T. Kaye, MD. “Primary care doctors deliver personalized
Overlookview.com | 11
People don’t know where to
turn when they get sick; they
go to the ER or to an urgent
care center.
healthcare that is patient-focused. They treat acute and chronic illness,
and deliver preventive services over time in continuity. They also
coordinate care among other sources of healthcare delivery,” says Kaye,
herself a family physician. “This elevates quality of care, eliminates
redundancies, drives down costs, and increases efficiencies in the way
we deliver healthcare.”
And yet, it’s common for patients not to have such a physician. “It’s
not unusual to hear that the doctor someone sees most often is a
specialist—a cardiologist or gynecologist, for example,” she says.
“People don’t know where to turn when they get sick; they go to the
ER or to an urgent care center.”
How—in a region with so many health-savvy consumers—is this the
case? Explains Kaye: “For generations, primary care was the stalwart
of healthcare delivery in America. Then we began to subspecialize.
Especially in the last 20 years, primary care has lost its prominence in
healthcare delivery. We’ve seen an out-migration of medical students
into specialties that have a better lifestyle. A generation ago, primary
care physicians were known for having long workweeks and late nights.”
Add to that the fact that primary care physicians tend to be compensated
less than specialists, and the burden of debt that most medical school
Kaye reports. In fact, your primary care physician should be considered
your medical home—the person who identifies illness and disease and
manages your preventive care, taking charge of immunizations and
recommending such screenings as mammograms and colonoscopies.
“You may or may not have an ongoing relationship with a specialist,”
says Kaye, “but if you have a primary care doctor with whom you have
a relationship built on honesty and trust, you can do what you need to do
to properly manage your health.”
If you’re in search of a primary care physician, Kaye recommends
seeking recommendations from friends and relatives, and then ensuring
that the physician is a good fit for you by evaluating his or her Board
certifications, education, insurance affiliations, and hospital affiliations.
Of course, once you have a primary care physician you call your own,
this does not mean that you won’t need to see a specialist. Kaye stresses
that primary care physicians do not hesitate to refer their patients to
specialists when needed, and she urges patients to make sure their
specialty physicians share any information (diagnoses, medications,
treatment plans, etc.) with their primary care physician. Says Kaye, “A
well-educated and involved patient is always the best patient.”
For a referral to a primary care physician, call (800) 247-9580.
students carry (more than $150,000 on average), and it’s no surprise that
fewer doctors opted into primary care. This created what Kaye refers to
as an inverted triangle, with a healthcare system in which 70 percent of
all physicians are specialists. “We’re the only country in the world with
more specialists than primary care providers,” she says. “Additionally,
our population is aging and older individuals require more healthcare
services. The American Academy of Family Physicians reports that a
shortfall of 40,000 primary care physicians currently exists in the United
States. Fixing our healthcare system will require a larger number of
primary care physicians who can make sure specialists work together in
the treatment of their patients. Studies show that the more primary care
doctors there are in a community, the higher the quality of care and the
lower the cost.”
Fortunately, as the benefits of primary care become clear, “we’re seeing
a re-entry of primary care as the foundation of the healthcare system,”
12 | August 2011
Overlookview.com | 13
For more than 25 years, Susan T. Kaye, MD, has held a unique position
in an esteemed profession. As a family physician, she has cared for
a complete cross section of our community—newborns, children,
adolescents, adults, and the elderly—serving as equal parts general
internist, gynecologist, and pediatrician. She is chair of the Department
of Family Medicine at Overlook Medical Center and medical director for
academic affairs for Atlantic Health System, and she has maintained a
clinical practice in Summit since 1985. Recently, she was named Family
Physician of the Year by the New Jersey Academy of Family Physicians
(NJAFP), an organization dedicated to advancing the specialty of
Family Medicine through education and advocacy (Overlook’s own
Robert Eidus, MD, has been elected the group’s new president). Each
year, the NJAFP presents this award to one outstanding physician who
best exemplifies the tradition of the family physician by providing the
community with compassionate, comprehensive, and caring medical
service on a continuing basis. In bestowing the Family Physician of the
Year award on Kaye, the organization also recognized her for, among
other things, nurturing and mentoring students and residents pursuing
their life’s vocation in primary care, and for working tirelessly for family
medicine and primary care to ensure that it is recognized as the main
portal to a viable and successful healthcare system.
Despite her own decades-long career and most recent accolade, Kaye
admits it’s not unusual for people not to understand the role of family
physicians, one of the subsets of primary care physicians. “Family
physicians are trained to provide care to all age groups, from newborns
to elderly patients,” she explains. “By treating a whole family, I know a
patient’s complete background, and the context in which a patient presents
problems is clear over a prolonged period of time.
“I began practicing in the early eighties. I have patients I’ve been seeing for
close to 30 years—they were my patients as children, and now they’re my
patients as adults. I have three-generation families!” Kaye adds proudly.
And her patients are proud to be in her care.
The Family
Business
What it really means to be cared for by a family
physician, from both sides of the exam table.
14 | August 2011
Susan Cook, of Westfield, is a longtime patient. Her husband and two
children, ages 10 and 13, are patients too, as is her sister-in-law; her inlaws were once patients as well. In fact, Cook began seeing Kaye 17 years
ago when her father-in-law was under Kaye’s care. “Our relationship with
Dr. Kaye started when my husband’s father was dying of lung cancer,”
Cook recounts. “She was there for us. She came to the house, she listened,
she did everything she could. She cared for my father-in-law, but she
showed care and concern for the whole family. After that, we all became
patients of hers.”
Cook has experienced firsthand the many benefits of seeing a family
physician. “Dr. Kaye takes a holistic approach to the whole family, and
she’s able to identify trends within the family,” she says. “When it comes
to treating my children, she knows me as a person and, as a result, knows
how to talk to me about any issue.”
Lisa Schultz, of Summit, is another of Kaye’s three-generation patients:
Kaye treats Schultz, her husband, and her children, as well as her parents
and members of her husband’s family. Schultz acknowledges that people
often don’t know what she means when she makes reference to her
family physician. “They say, ‘You go to a family practitioner?’ They don’t
understand that Dr. Kaye is our primary care physician, my gynecologist,
our pediatrician. But when I explain it, they’re always very interested.”
Schultz has been a patient of Kaye’s for more than 20 years, and says she
has always been impressed with the ease in which she has access to care
and to her records: “It’s all there, in one place.” She’s pleased, too, at how
she has witnessed the “connecting of the dots,” so to speak. “Dr. Kaye sees
all of us, so she can put the whole picture together. When my daughter
was found to have high cholesterol, Dr. Kaye asked to check my son’s
cholesterol to make sure that he wasn’t dealing with the same problem,”
Schultz explains. “She knows that my mother has terrible arthritis, and so
she’s taking measures to help ensure that I don’t face the same problem.”
Kaye appreciates her patients as much as they appreciate her. “I’ve been
involved in medical education and healthcare delivery in the state of New
Jersey for a long time,” she says. “I’m humbled to be recognized as Family
Physician of the Year by the New Jersey Academy of Family Physicians,
and I’m proud to be honored by my peers for doing the things I love to do:
educating the next generation of physicians, building relationships, caring
for my patients, and keeping families healthy.”
OVERLOOK’S SUSAN T. KAYE, MD,
HAS BEEN NAMED FAMILY PHYSICIAN
OF THE YEAR BY THE NEW JERSEY
ACADEMY OF FAMILY PHYSICIANS.
Overlookview.com | 15
second
to
None
At Overlook, we are driven by patient outcomes—it’s our
greatest indicator of success. But that’s not the only measuring
stick that helps to guide us. Here, we proudly present our
most recent awards and accreditations. They’re a testament
to our quality.
Overlook Medical Center is accredited by The Joint Commission,
an independent, not-for-profit organization that accredits and certifies more
than 18,000 healthcare organizations and programs in the United States. Joint
Commission accreditation and certification is recognized nationwide as a
symbol of quality that reflects an organization’s commitment to meeting the
highest performance standards.
Our physicians consistently dominate Top Doctors lists from Castle Connolly
and New Jersey Monthly.
The Carol G. Simon Cancer Center is a major clinical research affiliate of
The Cancer Institute of New Jersey, and Atlantic Health is the primary academic
and clinical affiliate in New Jersey of Mount Sinai School of Medicine and
The Mount Sinai Hospital. The Carol G. Simon Cancer Center has received
Accreditation with Commendation from the American College of Surgeons’
Commission on Cancer.
The Breast Center at Overlook Medical Center is accredited by the American
College of Radiology and the Mammography Quality Standards Act. It received
the Outreach Award from BMW and the Susan B. Komen Foundation.
The Stroke Center at Overlook Medical Center is a core component of
the Atlantic Neuroscience Institute (ANI). The Stroke Center was the first
in the state to be named a Comprehensive Stroke Center by the New Jersey
Department of Health and Senior Services, and it has maintained diseasespecific care certification by The Joint Commission as a certified Primary
Stroke Center for more than five years. The Center is the recipient of the
American Heart Association and American Stroke Association’s Get With the
Guidelines® Stroke Gold Plus Performance Achievement Award, recognizing
our commitment and success in providing excellent care for stroke patients.
ANI’s Epilepsy Center has been designated a Level 4 Epilepsy Center by the
National Association of Epilepsy Centers. It is one of only two such centers in
New Jersey.
Overlook’s Spine program received the Gold Seal of Approval™ in
Cervical Spine Treatment Certification and Lumbar Spine Treatment
Certification from The Joint Commission.
Goryeb Children’s Center at Overlook Medical Center features nationally
recognized, board-certified pediatricians who specialize in many pediatric
specialties. Goryeb Children’s Center is a participating member of the National
Association of Children’s Hospitals and Related Institutions (NACHRI), an
organization of children’s hospitals with more than 200 members. NACHRI
promotes the health and well-being of all children and their families through
support of children’s hospitals and health systems that are committed to
excellence in providing healthcare to children.
The Chest Pain Center, part of Gagnon Cardiovascular Institute, has received
Cardiac Rehabilitation Center Accreditation from the American Association
of Cardiovascular and Pulmonary Rehabilitation; Vascular Laboratory
Accreditation from the Centers for Medicare and Medicaid Services and
Intersocietal Commission for the Accreditation of Vascular Laboratories; and
Echocardiography Laboratory Accreditation from the Intersocietal Commission
for the Accreditation of Echocardiography Laboratories.
Overlook’s Women’s Heart Awareness Program received the Circle of
Excellence Award from the American Association of Critical Care Nurses.
Our Maternity services have been designated a Level III Intensive Perinatal
Unit by the New Jersey Department of Health and Senior Services.
The Atlantic Health Weight & Wellness Center is a Center of Excellence
in Bariatric Surgery, as designated by the American Society for Metabolic and
Bariatric Surgery.
Overlook’s Wound Healing Program is accredited by the Undersea &
Hyperbaric Medicine Society, and received the Gold Seal of Approval™
Disease-Specific Care Certification from The Joint Commission.
Atlantic Health has been selected by Fortune® magazine for the third year in a
row as one of the 100 Best Companies to Work For®. We’re proud to be the only
hospital system in northern New Jersey to earn this prestigious designation.
For a referral to an Overlook Medical Center physician,
please call (800) 247-9580.
16 | August 2011
Overlookview.com | 17
The
Sleuth
Squad
A specialized team comes together at The Institute for Rheumatic and
Autoimmune Diseases at Overlook Medical Center to help patients cope
with often mysterious disorders.
Before any disease or disorder can be treated, it must be correctly
diagnosed. In many cases, diagnoses are clear-cut and come quickly. But
in the case of rheumatic diseases (a group of more than 100 disorders
that cause arthritis and other painful conditions of the muscles, bones,
and tissues) and autoimmune diseases (in which antibodies or immune
cells mistakenly attack the body’s own healthy tissues, causing damage or
loss of function), patients often go undiagnosed (or misdiagnosed)—and
untreated (or mistreated)—longer than necessary as they seek answers
from one doctor and then another.
A new horizon of hope
At Overlook’s new Institute for Rheumatic and Autoimmune Diseases, a
team of Board-certified rheumatologists and supporting staff have come
together to achieve timely and accurate diagnoses and treatment plans.
Says Co-Director Elliot Rosenstein, MD, “We’re providing coordinated
care, because all of the various practitioners are working together under
one roof.”
At The Institute for Rheumatic and Autoimmune Diseases, doctors
use detailed physical examinations, careful patient histories, and
sophisticated immunologic and imaging tests to diagnose and treat
the full spectrum of rheumatic and autoimmune disorders, including
rheumatoid and psoriatic arthritis, lupus, vasculitis, and scleroderma.
The doctors explain that there are more therapeutic options than ever
before: oral and injectable medications, surgery, assistive devices, diet
plans, exercise, and pain management methods, including cognitive and
integrative therapies—all are making a tremendous difference in the way
patients cope with their illnesses. The area that seems to hold the most
promise for the autoimmune rheumatic diseases lies with newer classes
of drugs called biologics.
Rosenstein and Co-Director Neil Kramer, MD, together with Suleman
Bhana, MD, and a team of nurses, diagnose and treat diseases
that are mysterious to most physicians but commonplace to them.
“Rheumatologists are often considered the ultimate medical detectives,”
says Rosenstein. In their world, they analyze historical features in
conjunction with physical findings to guide appropriate laboratory and
imaging studies to arrive at accurate diagnoses, and then recommend
therapies that improve patients’ quality of life. “We often deal with the
zebras, rather than the more commonplace horses,” says Kramer.
18 | August 2011
While many rheumatic and autoimmune diseases present with vague
symptoms, Rosenstein and Kramer caution that people should be
especially aware of lingering musculoskeletal pain or an unexplained
fever (in which an acute infection is not evident). “People shouldn’t
jump to seeing a specialist the first day they have a symptom,” says
Rosenstein, “but if a symptom lasts more than a few weeks and can’t be
resolved by a primary care physician, it’s time to consider a specialist.”
Overlookview.com | 19
“Without the infusion center, we wouldn’t be considered for
involvement in clinical research,” says Kramer—and it’s research
that ultimately leads to the next generation of treatment options,
Rosenstein adds.
“Talk to any rheumatologist, and they’ll tell you that they find the
practice of rheumatology so much more fulfilling now than several
years ago because there are so many more meaningful therapies,”
says Rosenstein. Still, there has not been a strong emphasis on
teaching rheumatology. “That’s one of the things we’re trying to
overcome,” says Kramer. “We want to teach and inspire others to go
into the field, while giving our patients excellent care and engaging in
clinical trials and research to define treatments for the future.”
OVERLOOK IMAGING.
EVERYTHING YOU EVER WANTED IN AN IMAGING CENTER.
Computed Tomography (CT)
The Institute for Rheumatic and Autoimmune Diseases at Overlook
Medical Center is now open for the diagnosis and treatment of such
conditions as:
• Inflammatory arthritis (rheumatoid arthritis, psoriatic arthritis,
and ankylosing spondylitis)
• Osteoarthritis
• Systemic Lupus Erythematosus (SLE)
“Biologic drugs have revolutionized treatment,” says Kramer. He
explains that biologic drugs are tailored to target specific growth
factors—cytokines, for example, which work specifically within the
immune system for intercellular communication. Since the first biologic
medication came on the scene 13 years ago, he says, researchers
have seen “very convincing evidence that people treated with these
medications lead longer lives and suffer fewer complications. They
don’t just feel better; they actually live better lives.”
The Institute for Rheumatic and Autoimmune Diseases has an onsite
infusion center staffed by specially trained infusion nurses for the
administering of these drugs. The existence of the infusion center also
affords the Institute the ability to engage in clinical research, since so
many research trials today involve injected and infused medications.
Computed Tomography Angiography (CTA)
Magnetic Resonance Imaging (MRI/MRA)
Breast MRI
Digital Mammography/Breast Ultrasound
• Sjögren’s syndrome
• Scleroderma
• Myositis
Positron Emission Tomography (PET)
Nuclear Medicine
• Vasculitis
• Polymyalgia rheumatica
• Gout and pseudogout
For more information on The Institute for Rheumatic and
Autoimmune Diseases at Overlook Medical Center or to schedule
an appointment, call (908) 598-7911.
Interventional Radiology
Digital Fluoroscopy
Ultrasound
Bone Density Scanning (DEXA)
Digital Diagnostic Radiography (x-ray)
No matter what you need in imaging, you’ll find it at any of our state-of-the-art imaging
centers. You’ll also find a full staff of board-certified radiologists and the latest, most advanced
technology. What’s more, all health insurance plans are accepted. When it comes to imaging,
Overlook Imaging has it all.
For all your imaging needs, ask your physician to send you to Overlook Imaging. atlantichealth.org/overlookradiology
Four convenient locations:
Overlook Medical Center
99 Beauvoir Avenue • Summit, NJ • 908-522-2065
Overlook Imaging, Springfield Avenue
1 Springfield Avenue • Summit, NJ • 908-598-6651
Overlook Imaging, Union Campus
1000 Galloping Hill Road • Union, NJ • 908-522-6280
Breast Center at Overlook Medical Center
11 Overlook Road • Summit, NJ • 908-522-5762
20 | August 2011
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Community Health Calendar
Cancer
Children & Parenting
In addition to these programs, Parent Education
offers a wide variety of other classes and seminars
for expectant and new families, including prepared
childbirth, grandparent, sibling, and mommy and me
programs. A complete listing may be found at www.
AtlanticHealth.org, or you may contact the Parent
Education office at 908-522-2946 or
[email protected].
We look forward to hearing from you!
Go Baby Green
Exposure to chemicals in the home is an increasing
health risk. Learn about everyday cleaning products,
their hazards, safe alternatives, and ways to create
a non-toxic environment for your baby, kids, pets,
and yourself.
Registration required at 908-522-2946.
Call for dates and times.
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
Moms and Babies Together: Building Blocks
Network for new moms and babies 6 weeks to 5
months old. Discussion topics include: your baby’s
temperament, reading baby’s cues, baby bio-rhythms
and creating a schedule, helpful information about
formula and breast-feeding, and healthy eating for
babies—from baby food and beyond.
Registration required at 908-522-2946.
Call for dates, 10:00 am to Noon
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
Moms and Babies Together: Hand in Hand
Network for new moms and babies 6 weeks to 5
months old. Discussion topics include keeping baby
safe and healthy, the art of infant massage, exercise
for you and baby, baby signing and emerging language,
structured play, and stimulating the senses.
Registration required at 908-522-2946.
Call for dates, 10:00 am to Noon
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
Early Pregnancy
Attend before your 6th month of pregnancy. Learn
about comfort techniques, prenatal exercise, fetal
development, nutrition, physical and emotional
changes, and working during pregnancy.
Registration required at 908-522-2946.
Call for dates, 7:00 to 9:00 pm
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
Toddler Nutrition I
Start healthy eating habits that will last a lifetime.
For parents of toddlers 9 to 18 months.
Registration required at 908-522-2946.
Call for dates, 7:00 to 9:30 pm
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
Toddler Nutrition II
For parents of toddlers 18 to 24 months. Topics include
creative menus, snack suggestions, and behavior
issues with feeding.
Registration required at 908-522-2946.
Call for dates, 7:00 to 9:30 pm
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
24 | August 2011
ABC’s of Going Home With Your Baby
Learn about your newborn’s appearance, capabilities,
wardrobe, equipment needs, daily care, and bottle feeding.
Call for dates, 7:00 to 9:30 pm
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
908-522-2946
Breast-feeding Your Baby
Breast-feeding basics and tips to help you off to a good
start. Partners welcome.
Call for dates, 7:00 to 9:30 pm
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
908-522-2946
Mindful Pregnancy and Birth
Develop or enhance inner resources for managing
stress or anxiety in pregnancy, birth, early parenting,
and daily life. This program also covers experiences
in breath work to tap into inner reservoirs of courage,
strength, and confidence; understanding the process
of labor; and learning coping strategies and comfort
measures to use during labor. (Combines information
from Prepared Childbirth and Calm Birth classes.)
Includes Calm Birth and Calm Mother audio guide CD,
plus a hospital tour.
Call for dates and times.
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
908-522-2946
Calm Birth
Complementary preparation for childbirth, based on
meditative science and mind/body medicine.
Registration required at 908-522-2946.
Call for dates and times.
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
Prepared Childbirth Class
Topics include stages of labor, breathing and
relaxation techniques, medication options, hospital
stay, and cesarean birth. Includes a hospital tour.
Call for dates and times.
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
908-522-2946
Childbirth Mini-Class: Techniques and
Teamwork for Labor and Birth
Learn breathing and relaxation techniques, as
well as ways to use visualization, music, massage,
aromatherapy, and positioning as tools in labor.
Registration required at 908-522-2946.
Call for dates, 7:00 to 9:30 pm
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
Childbirth Mini-Class: Your Baby’s Birth at Overlook
Medical Center
Includes information on signs of labor, when to come
to the hospital, and the labor, delivery, and postpartum
experience at Overlook Medical Center, as well as a
tour of the Maternity Center.
Registration required at 908-522-2946.
Call for dates, 7:00 to 9:30 pm
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
Registration is required for all programs through Overlook
Medical Center’s Health Information Services at 800-247-9580, unless otherwise
noted. Overlook Medical Center is located at 99 Beauvoir Ave., Summit. Atlantic
Behavioral Health Outpatient is located at 46-48 Beauvoir Ave., Summit.
Childbirth Mini-Class: Epidurals,
C-Sections, and More
A discussion of medication options available in labor
(including epidural and spinal anesthesia), induction
of labor, and cesarean birth (perfect for moms with a
scheduled or repeat cesarean section).
Registration required at 908-522-2946.
Call for dates, 7:00 to 9:30 pm
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
The Happiest Baby on the Block
Based on the work of Harvey Karp, MD. Parents and
caregivers learn new ways to calm crying, using the
five S’s of soothing.
Registration required at 908-522-2946.
Call for dates, 7:00 to 9:00 pm
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
Becoming a Grandparent
Prospective grandparents learn the latest in
childbirth and infant care. Includes a tour of
the Maternity Center.
Call for dates, 9:00 am to Noon
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom; 11 Overlook Rd., Summit
908-522-2946
Postpartum Depression Group
This group will include coping and relaxation skills,
psychoeducation, and support.
Registration required at 888-247-1400.
Every other Thursday, 11:00 am to Noon
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Stroke
Stroke Support Group
The stroke support group provides emotional and
educational support to stroke survivors and caregivers.
The support group is a forum where stroke survivors and
their families can share experiences and concerns related
to stroke.
Registration required at 800-247-9580.
Second Thursday of the month, Noon to 1:00 pm
Overlook Medical Center, MAC ll, Community Education
Room, 11 Overlook Rd., Summit
Stroke School and Brain Games
Hilltop Community Bank and Overlook Medical Center
invite you to a special educational event: a stroke screening
and education for adults and Brain Games for kids.
Registration Required at 800-247-9580.
Monday, August 22, 10:00 am to 2:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Stroke Screening
Evaluate your risk for stroke through cholesterol and
glucose lab testing, blood pressure and pulse check,
weight and Body Mass Index. Stoke-related counseling by
healthcare professionals is included.
Registration required at 800-247-9580.
Monday, September 19, 10:00 am to 2:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Quarterly Now What?
Post-Treatment Survivorship Talk and Share
Topics related to post-treatment issues.
Registration required at 908-522-5349.
Call for dates and times
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
Bereavement Group Support group for family and friends who have lost a
loved one to cancer.
Registration required at 908-522-5255.
Call for dates and times.
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
Sexuality Series
Presentation and opportunity to explore issues related
to sexuality after cancer.
Call for dates and times.
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
908-522-5349
Hearts and Hands: Living with Cancer
An open drop-in support group that offers patients
and caregivers the opportunity to support one
another in a caring environment.
No registration required.
Thursdays, 1:30 to 3:00 pm
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
908-522-5349
Post-Treatment Group
For patients who have completed their cancer
treatment. This open support group explores issues
and concerns related to survivorship.
Registration required at 908-522-5349.
Second Thursday of the month, 7:00 to 8:30 pm
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
Free Quarterly Talk and Share
Educational Lecture Series
Series of free educational lectures for patients, family
members, and the general public.
Registration required at 908-522-5349.
Call for dates and times.
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
Gentle Yoga for Cancer Patients
Yoga can improve energy, concentration, and the
emotional well-being of cancer patients. A brief
meditation period will also be included at the end of
class to calm, soothe, and focus the busy or stressed
mind. Class will last for 60 minutes and is for cancer
patients ONLY.
Registration required at 908-522-6168.
Mondays, 1:30 to 2:45 pm
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
* Indicates a fee associated with the program.
I Cancer Vive
A 6-week program that empowers cancer patients
and their caregivers to take a mind-body approach
to healing.
Registration required at 908-522-5349.
Call for dates and times.
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
Look Good, Feel Better
Women who are undergoing cancer treatment learn
how to look their best and manage appearancerelated side effects.
Registration required at 908-522-5255.
Call for dates, 10:00 am to Noon
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
Guided Imagery
A program for cancer patients, using visualization to
enhance the immune system’s ability to function and
improve one’s sense of emotional well-being.
Registration required at 908-522-6168.
Tuesdays, 2:00 to 3:00 pm
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
Ostomy Support Group
Professionally led group for ostomy patients and their
families.
Registration required at 908-522-2156.
Call for dates and times.
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
Exercise Class for Breast Cancer Survivors
A comfortable, safe, and supportive exercise
environment for breast cancer patients who have
undergone treatments and procedures, including
chemotherapy, radiation, hormonal therapy, breast
surgery, or reconstruction. Exercises are designed to
increase flexibility and muscle mass, decrease body
fat, and work on prevention of lymphedema.
Registration required at 908-522-6210.
Call for dates and times.
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
Scar Massage A program for post-mastectomy patients who
have chosen not to undergo breast reconstruction.
One-hour private massage with a certified massage
therapist. The purpose is to help prevent adhesions,
improve blood flow to the area, and maintain or
improve movement in the tissue post-surgery. Must
be at least six weeks post-surgery.
Registration required at 908-522-5211.
Call for appointment.
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
Swim & Support: Post–Breast surgery Group
The program provides women with a supportive
discussion group and a post-operative pool-exercise
program. The program, developed to restore physical
strength as well as emotional well-being, will be led
by a licensed counselor, oncology nurse specialist,
and a certified cancer exercise specialist. The
program is free and is available to women who have
undergone a lumpectomy or mastectomy and are 6
weeks to 18 months post-surgery.
Registration required at 908-522-5349.
Call for dates and times.
The Connection, 79 Maple St., Summit
Circle of Women: A Breast Cancer
Networking and Support Group
Circle of Women is a 12-week support group created
to help women connect with one another in a warm
and welcoming place. This enables open discussions
related to diagnosis and the journey through all
treatment stages. Circle of Women combines supportgroup discussion and education on relevant topics that
can help you adjust to the impact that breast cancer
has had on you and your family.
Registration required at 908-522-6210.
Call for dates and times.
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
Qi Chong (Chinese exercise program)
Similar to Tai Chi. Meditation, breathing, and simple
movement—suitable for all fitness levels.
Registration required at 908-522-6168.
Call for dates and times.
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
Successful Surgery Program
Guided imagery program shown to improve postsurgical outcomes and reduce anxiety.
Registration required at 908-522-6168.
Call for dates and times.
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
Group Acupuncture
Ancient technique designed to balance the body’s
energy. Helpful for nausea, pain, and anxiety.
Registration required at 908-522-6168.
Call for dates and times.
Overlook Medical Center, Conference Rooms,
99 Beauvoir Ave., Summit
Sun Exposure Lectures
See the effects of sun exposure on your skin by using
our Dermaview machine, and learn how to protect
yourself from the harmful effects of the sun. Receive
free educational materials.
No registration required.
Monday, August 15, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Tuesday, August 16, 10:00 am to Noon
Chatham Family Practice, 492 Main St., Chatham
1-800-247-9580
Women’s Health
Speakers Bureau for Women’s Heart Health
If you would like to have one of our cardiac nurses
speak to your group or organization about the
signs and symptoms related to women and heart
disease, please call 908-522-5355.
Overlookview.com | 25
Community Health Calendar
REGISTRATION IS REQuIRED FOR ALL PROGRAMS through Overlook
Medical Center’s Health Information Services at 800-247-9580, unless otherwise
noted. Overlook Medical Center is located at 99 Beauvoir Ave., Summit. Atlantic
Behavioral Health Outpatient is located at 46-48 Beauvoir Ave., Summit.
Heart Health
Diabetes
Learn your blood sugar and risk factors for type II
diabetes, with a nonfasting fingerstick that gives
immediate results.
Registration required at 800-247-9580.
Monday, August 8, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Wednesday, August 10, 10:00 am to Noon
Jewish Community Center, Martine Ave.,
Scotch Plains
Thursday, August 11, 10:00 am to 1:00 pm
North Plainfield Library, 6 Rockview Ave.,
North Plainfield
Monday, September 26, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Blood Pressure
Make sure you are at or below 120/80, the national
guideline for blood pressure. Receive counseling and
educational materials.
Registration required at 800-247-9580.
Monday, September 12, 10:00 am to Noon
Scotch Plains YMCA, Martine Ave., Scotch Plains
Thursday, September 15, 10:00 am to Noon
Whole Foods Market, 2245 Springfield Ave., Vauxhall
Tuesday, September 27, 10:00 am to Noon
Summit YMCA, 67 Maple St., Summit
Body Mass Index, Body Fat Analysis
Learn how your body-fat percentage and BMI
affect your . Receive individual counseling and
educational materials.
Registration required at 800-247-9580.
Monday, September 12, 10:00 am to Noon
Scotch Plains YMCA, Martine Ave., Scotch Plains
Thursday, September 15, 10:00 am to Noon
Whole Foods Market, 2245 Springfield Ave., Vauxhall
Tuesday, September 27, 10:00 am to Noon
Summit YMCA, 67 Maple St., Summit
Cholesterol
Total cholesterol, HDL, and TC/HDL ratio are
measured using a simple fingerstick. Education and
counseling are offered, based on results. Fasting is
not required.
Registration required at 800-247-9580.
Friday, August 12, 10:00 am to Noon
Home Depot, Springfield Ave., Union
Tuesday, August 23, 10:00am to Noon
Summit YMCA, 67 Maple St., Summit
Wednesday, September 7, 10:00am to Noon
Westfield YMCA, 220 Clark St., Westfield
Monday, September 26, 10:00am to Noon
The Connection, 79 Maple St., Summit
Wednesday, September 28, 10:00 am to Noon
Berkeley Heights YMCA, 550 Springfield Ave.,
Berkeley Heights
Fee $10
26 | August 2011
Bariatric Medicine & Surgery Seminars
and Bariatric Support Group
Call to find out dates and times for upcoming lectures
and seminars. There is also a support group for
those who have already had bariatric surgery. After
bariatric surgery, people experience new challenges
both physically and emotionally. Lectures on exercise,
nutrition, and image changes, as well as guest
speakers and time for sharing information.
Registration required at 908-522-5794.
Call for dates and times.
Overlook Medical Center, 99 Beauvoir Ave., Summit
BLS for the Healthcare Provider (full course)
This course is designed to meet the needs of
healthcare professionals who respond to cardiac and
respiratory emergencies.
Registration required at 908 522-2365.
Call for dates, 7:00 to 10:00 pm
Overlook Medical Center, Wallace Auditorium,
99 Beauvoir Ave., Summit
Fee $85
BLS for the Healthcare Provider (renewal)
This course is designed to renew the skills taught in
the full Basic Life Support course.
Registration required at 908 522-2365.
Call for dates, 7:00 to 10:00 pm
Overlook Medical Center, Wallace Auditorium,
99 Beauvoir Ave., Summit
Fee $55
American Heart Association First Aid
Covers basic First Aid for common medical and
traumatic emergencies. Prior knowledge of CPR
is recommended.
Registration required at 908 522-2365.
Call for dates, 7:00 to 10:00 pm
Overlook Medical Center, Wallace Auditorium,
99 Beauvoir Ave., Summit
Fee $55
Heartsaver AED
A program to teach CPR, AED, and relief of foreignbody obstruction for adults.
Registration required at 908 522-2365.
Call for dates, 7:00 to 10:00 pm
Overlook Medical Center, Wallace Auditorium,
99 Beauvoir Ave., Summit
Fee $45
Heartsaver Pediatric
A program to teach CPR and relief of foreign-body
obstruction for the infant and child.
Registration required at 908 522-2365.
Call for dates, 7:00 to 10:00 pm
Overlook Medical Center, Wallace Auditorium,
99 Beauvoir Ave., Summit
Fee $40
Taking Steps to Control Diabetes
Self-management education designed to help
patients and their families plan meals, monitor
blood sugar, prevent complications, and implement
healthy lifestyle habits. Individual and group
classes available. Covered by Medicare and
most major insurers.
Registration required at 908-522-5277.
Call for dates and times.
Overlook Medical Center, 99 Beauvoir Ave., Summit
Health & Wellness
Bone Density
Find out if you are at risk for developing osteoporosis,
with a noninvasive ultrasound that provides
immediate results. Counseling and educational
materials also are provided.
Registration required at 800-247-9580.
Thursday, August 18, 10:00 am to Noon
Whole Foods Market, 2245 Springfield Ave., Vauxhall
Wednesday, August 24, 10:00 am to Noon
Berkeley Heights YMCA, 550 Springfield Ave.,
Berkeley Heights
Thursday, September 1, 10:00 am to Noon
5 Points YMCA, 201 Tucker Ave., Union
Monday, September 12, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Fee $10
Hearing Screening
Have your hearing tested for potential problems.
Registration required at 800-247-9580.
Monday, August 29, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Friday, September 9, 10:00 am to Noon
Home Depot, Springfield Ave., Vauxhall
Tuesday, September 20, 10:00 am to Noon
Chatham Family Practice, 492 Main St., Chatham
Thursday, September 22, 10:00 am to Noon
Westfield Board of Health,
425 East Broad St., Westfield
Respiratory Screening
Learn your breathing capacity. This screening is for
those who have NOT been previously diagnosed with
a respiratory condition.
Registration required at 800-247-9580.
Thursday, September 8, 10:00 am to Noon
North Plainfield Library, 6 Rockview Ave.,
North Plainfield
Wednesday, September 14, 10:00 am to Noon
Jewish Community Center, Martine Ave.,
Scotch Plains
HIV Support Group
This group offers support and information regarding
HIV. Meet others with HIV who face the same fears
and questions, and find solutions. Meetings are held
in a confidential and private environment. To leave a
confidential message, call 973-971-8936.
2nd & 4th Thursdays of the month, 7:00 to 9:00 pm
Overlook Medical Center, Case Management Office,
99 Beauvoir Ave., Summit
Stroke Support Group
The Stroke Support Group provides emotional
and educational support to stroke survivors and
caregivers. The support group is a forum where stroke
survivors and their families can share experiences
and concerns related to stroke.
Registration required 800-247-9580.
Second Thursday of the month, Noon to 1:00 pm
MACII, Community Education Room,
11 Overlook Rd., Summit
Atlantic Behavioral Health
Mindfulness Group
Men and Women will learn mindfulness
techniques and how to apply them to better cope
with their illnesses.
Registration required at 888-247-1400.
Monday through Friday, 2:30 to 4:00 pm
Tuesdays, 6:00 to 7:30 pm
Outpatient Behavioral Health,
46-48 Beauvoir Ave., Summit
Substance Abuse Family Support Group
Participants will learn ways to cope with substanceabusing family members.
No registration required.
Tuesdays, 6:30 to 8:00 pm
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
908-522-4878
Hypnosis for Weight Loss
Learn how to permanently lose weight using
hypnotic suggestions and proven behaviormodification techniques.
Registration required at 800-247-9580.
Tuesday, August 16, 7:00 to 9:00 pm
Tuesday, September 20, 7:00 to 9:00 pm
Overlook Medical Center Conference Area,
99 Beauvoir Ave., Summit
Fee $70
Therapeutic Gambling Group
Weekly therapy group for individuals who are
concerned about their level of gambling.
Registration required at 908-522-4878.
Tuesdays, 8:00 to 9:00 pm
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Women’s Group
Participants will learn coping skills through
examination of thoughts and behaviors.
Registration required at 908-522-4878.
Thursdays, 11:00 am to 12:30 pm
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Hypnosis For Smoking Cessation
Learn how to quit smoking for good, using
hypnosis and behavior modification.
Registration required at 800-247-9580.
Thursday, August 18, 7:00 to 9:00 pm
Overlook Medical Center Conference Area,
99 Beauvoir Ave., Summit
Fee $70
Downtown Summit
Community Health:
357 Springfield Ave., Summit
All screenings are held on
Mondays, from 10:00 am to 3:00 pm.
To register, please call 1-800-247-9580.
August 8: Diabetes
August 15: Sun Exposure Education
With the Dermaview
August 22: Stroke School and Brain Awareness:
Hilltop Community Bank and Overlook Medical
Center invite you to a special educational
event—a stroke screening and education for
adults and “Brain Games” for kids.
Registration required.
August 29: Hearing
Chemical Dependency Intensive Outpatient Program
Three one-hour groups, 3 nights weekly, for those
trying to remain abstinent from all substances.
Registration required at 908-522-4878.
Monday, Wednesday, and Thursday nights,
6:00 to 9:30 pm
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Mental Health Intensive Outpatient Program
Group, individual, and family counseling as well as
medication management for those who need an
intense, time-limited treatment to improve their
emotional health. Participants attend 3 out of 5 days
per week.
Registration required at 908-522-4878.
Monday through Friday, 10:30 am to 2:00 pm
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Neuropathy Patients Support Group
Discuss various options in the support and treatment
of neuropathy. For additional information, please call
908-233-9709.
No registration required.
First Tuesday of the month, 7:00 to 8:30 pm
No meetings in July and August.
Overlook Medical Center, Neuroscience Community
Conference Room, 99 Beauvoir Ave., Summit
* Indicates a fee associated with the program.
Overlookview.com | 27
On Call
the overlook emergency Department is ready for anything, around the clock.
The Emergency Department (ED)
isn’t ever a place people look forward
to visiting, but at some point most
people find themselves there, either
as a patient or as a concerned family
member. In the course of everyday life,
emergencies arise—falls, fevers, chest
pains, stroke, and so much more. If
you need an Emergency Department,
it’s reassuring to know that one of the
area’s finest is ready to treat you.
28 | August 2011
Overlookview.com | 29
Know When to Go
Making the decision to go to the ED can be a tough call. It’s natural
to want to downplay symptoms, and the concern over being seen as
overreacting can be very real. But Mastrokyriakos always encourages
patients to err on the side of caution. “I’ve seen an earache that turned
out to be the beginning of a heart attack,” he explains, “so it’s always
better to be safe than sorry.” And remember, when you go to the ED
you won’t be seeing your regular doctor who’s known you for years, so
be ready to share lots of valuable information. “We can learn a lot from
a patient’s history since many syndromes and conditions have patterns
we see on a regular basis,” says Mastrokyriakos. “It’s very helpful to
know what types of symptoms a patient is having, the duration of those
symptoms, how severe they are, and whether they are constant or come
and go.” Mastrokyriakos also encourages everyone to carry in their
wallet a list of every type of medication they take and the dosage. “You
may know all of this information by heart,” he explains, “but if you’re
brought into the ED in a state where you can’t share that information,
then it’s not going to get communicated.”
Overlook’s ED: The Gold Standard
Why Overlook?
Overlook Medical Center operates two Emergency Departments: the
Summit location, onsite at the hospital, treats between 160 and 180
patients each day; the Union location sees approximately 90 cases a
day. “We’re a community hospital,” says Sharon Kelly, manager of
Emergency Services, “and we have a very educated constituency. We
have to be at our best every day.”
Maintaining Overlook’s reputation for having a top-notch ED requires
constant vigilance. “Our staff are constantly attending ED bestpractices conferences and bringing what they learn back to Overlook,”
says Kelly. But there’s more to it than that. Read on to discover why an
Overlook ED is the place to go when you need help … stat!
Paul Mastrokyriakos, MD, chair of the Department of Emergency
Medicine at Overlook, explains that the Overlook EDs tend to have
a very high acuity rate, meaning that there is a large number of more
serious cases. “Fifty percent of our patients come to us via ambulance,”
he says, “which means we tend to get a lot of complicated cases like
chest pain, stroke symptoms, infections, and sepsis.” Mastrokyriakos
and Kelly attribute this acuity rate in large part to the high level of care
at both the Overlook and Union facilities, especially in dealing with
stroke and cardiac problems. “People can go anywhere they want for
care these days, and we want to continue to be the facility of choice,”
says Kelly. “Our high volume of patients means more staff, more
state-of-the-art equipment, and a better ED overall.”
“Every member of our staff is trained in a five-level triage system,
which ensures that the most acute or at-risk patients get seen first,”
explains Kelly. “We are also constantly monitoring our patient wait
times and walk-outs, and we currently have less than a one percent
walk-out rate.” This means that patients are getting seen faster at
Overlook, which improves the quality of care.
All ED staff members undergo mandatory training in communicating
with patients and their families. “We understand that we see many of our
patients and their loved ones at some of the lowest and most frightening
moments of their lives,” says Kelly, “so our staff is expertly trained to
treat patients like they would their own family members.” This also
means that no patient at Overlook ever gets left lying around wondering
what’s going on: “We do bedside registration and hourly bed rounding,”
explains Kelly, “so patients and families are always informed.”
Another indicator of quality is the manner in which Overlook treats
the paramedics that transport patients. “We pride ourselves on getting
EMS crews back out into the field faster,” says Kelly, “which is why
they bring their patients here—there’s less waiting.”
A dedicated ED just for children is another highlight of the Overlook
system. “The benefit of a pediatric ED is that each child is seen by
a pediatrician, which means they receive more focused care and
treatment,” says Mastrokyriakos. “This is certainly not to say that
traditional ED physicians can’t treat children effectively, because we
can, but in many cases, especially with newborns, I will often call in a
pediatrician to consult.”
30 | August 2011
Overlook
Medical Center
EMERGENCY SERVICES
Patients are getting
seen faster at
Overlook, which
improves the
quality of care.
Summit Campus
Union Campus
99 Beauvoir Avenue
Summit, New Jersey 07902
(908) 522-2000
1000 Galloping Hill Road
Union, New Jersey 07083
(908) 522-6300
In any of the following instances, seek help
at an Emergency Department immediately.
• Chest pain
• Stroke-related symptoms
• Belly pain with fever
• Signs of anaphylaxis (a severe, whole-body allergic reaction)
• Trouble breathing
• Head injury accompanied by a loss of consciousness,
confusion, headache, or vomiting
• Uncontrolled bleeding
• Deep cuts or lacerations
• A seizure of any kind
• A fever above 100.5 in an infant under one year
• Severe abdominal pain in a child
• Signs of dehydration (dry mouth, sunken eyes, not urinating
in 12 hours, dark urine, dry skin, lethargy, and dizziness)
• Signs of heat exhaustion
• A sunburn so severe you can no longer hold down fluids
(due to vomiting or diarrhea), you experience chills or aches,
run a dangerously high fever, or begin to drift in and out of
consciousness
• Food poisoning accompanied by headache, blurred vision,
and muscle weakness (which can indicate botulism)
• A burn accompanied by dizziness, weakness, confusion, or
shivering. Electrical or chemical burns should also be seen
at the ED, since they do most of their damage internally.
Even in instances outside these guidelines, remember: It’s
always better to go the ED than to “wait things out” at home.
When in doubt, check it out.
Overlookview.com | 31
Safe
atHome
Summer is relaxed and carefree—
but it’s not without its pitfalls.
Summer is associated with outdoor fun, but it can also be primetime
for hospital visits. “This time of year we see a lot of heat-related
injuries and pediatric injuries sustained from playing sports and being
near pools,” says Paul Mastrokyriakos, MD, chair of Overlook’s
Department of Emergency Medicine. To avoid becoming a summer
statistic, follow these helpful hints for staying safe this season.
• “Babies and the elderly need special attention when it’s hot,” says
Mastrokyriakos. Keep babies in air-conditioned rooms, and check
on the elderly if they live alone.
• Heat exhaustion can strike anyone, so it’s important to stay
hydrated, especially when playing or working outdoors.
• “Supervise children of all ages near pools,” cautions
Mastrokyriakos, citing the example of a recent near-drowning
case. “Although the child did fine, the accident was completely
preventable,” he says.
• Of course, drowning isn’t the only pool danger. Long hair, tiny
fingers, and even small arms and legs can get caught and mangled
in the powerful suction of a pool’s filters. Instruct your children
to stay away from filters while swimming in any pool. If a toy
happens to float into the filter area, only a grown-up should
retrieve it, and only with the proper tools.
• After being outdoors, check yourself and your children for
ticks (don’t forget nooks and crannies like armpits, behind your
ears, and under your breasts, since ticks like dark areas). You’re
looking for a small, round, black or brown bump.
• When packing a picnic, guard against cross-contamination. Wrap
raw meats securely so their juices don’t leak onto ready-to-eat food.
And be sure to wash thoroughly any utensils used on raw food before
using them again on cooked items. Never put your cooler in the trunk
of your car, either; instead, carry it in the air-conditioned back seat.
And remember that perishable foods should not be left out longer
than two hours (or one hour if the temperature is above 90 degrees).
• Designate the barbecue as a “no-play zone.” Open up the area
only when the grill and all its accessories are cool.
32 | August 2011
New Rules on Sunscreen
Whether you spray, spritz, or slather,
the sun-protection products you use
are about to change.
Applying sunscreen to your entire family should be a no-brainer.
But what you may not realize is that when it comes to staying safe
in the sun, the rules have changed. The FDA’s latest guidelines,
more than 30 years in the making, have revamped the way you’ll
buy and use sunscreen in 2012, and are aimed and reducing the
more than 2 million new cases of skin cancer diagnosed each year.
Here’s what you need to know.
The biggest change is that the FDA now recommends buying
only sunscreens labeled “broad spectrum,” which means they
protect against both UVB and UVA rays. Under new FDA laws,
only sunscreens meeting a minimum UVA protection level will be
allowed to carry the name “broad spectrum.”
You’ll be seeing some label changes to water-resistant sunscreens
as well. Now products claiming to be “water-resistant” will be
required to indicate how long the protection lasts after swimming
or sweating. If a sunscreen is not water-resistant, the manufacturer
will be required to say so on the label.
SPF still matters. A sunscreen’s magic number refers to its level of
UVB protection, but in broad-spectrum products, higher levels of
UVB protection also indicate higher UVA protection.
Under the new laws, only sunscreens with an SPF of 15 or higher
will be allowed to claim to prevent sunburn and reduce the risk of
skin cancer and premature aging.
All sunscreens will be required to undergo the same FDA testing
for broad-spectrum protection. As the law stands now, companies
can conduct their own testing, but this new regulation will ensure
you get exactly what you pay for.
The one guideline that will remain the same is for reapplication,
which is still recommended every two hours.
(908) 771 0707�
N THE
ROAD
AGAIN
Put some mettle to your pedal when you select the right bike.
The stationary bike? Again? Cycling is a great cardiovascular activity
that also builds strength and muscle tone, but during the last weeks of
summer and well into the fall, you can get more mileage out of your
ride by trading in that stationary bike for the real deal. The fresh air
will do your body good, and it’s a great way to spend quality family
time. Here, Sal Piccolo, owner of the Madison Bicycle Shop
(www.madisonbicycleshop.com), delivers his tips on everything from
selecting the right bike to transitioning your child away from training wheels.
A bicycle built for you
If you haven’t been in the market for a bike in a while, you’ll likely
be surprised by the number of options. When it comes to selecting the
right ride, Piccolo suggests the following.
• “First and foremost,” he says, “go to a bicycle shop.” This
is especially true when buying a bicycle for your child.
“Unfortunately there are a lot of inferior, unsafe bikes that barely
squeak by government standards.” The right bike will support a
child’s learning experience and help them to build confidence. For
boys, consider a Trek Jet bike; for girls, the company’s Zara model
is very popular.
• Choose a bicycle that suits your needs. If you have a bad back,
for example, you might benefit from a bike that’s designed to let
the rider sit upright. You might need a bike with multiple gears if
you’re going to be riding up and down hills. Or you might prefer
one of the newer hybrid bicycles, which combine the best features
of road bikes and mountain bikes to produce a bicycle that is both
fast and sturdy. “With the technology and ingenuity that go into
bicycles today, there’s truly a bicycle for everyone,” says Piccolo.
• The right fit is essential. After all, a bicycle that is too big—for
a child or an adult—is difficult to ride and difficult to control.
“Try jogging in the wrong-size sneakers,” Piccolo says, drawing
on the comparison. “You’re not going to get very far or feel very
comfortable.”
• Before you set out, remember: Safety first! It’s mandatory in New
Jersey for children to wear a helmet, but adults should wear one
too. “Your cheapest form of life insurance is a good helmet,” says
Piccolo. For safety and style, check out the Quantum helmet.
Special notes about kids
By the time a child is five or six years old, he or she is usually ready
to transition away from training wheels and move to a 20-inch model.
When that time comes, consider these suggestions.
• A single-speed, coaster-brake style is the way to go. “It’s simple
to maintain and easy to understand,” says Piccolo. Remove
the training wheels and lower the seat as much as possible, so
your child can put his or her feet flat on the ground. Adjust the
handlebars so that your child can reach them comfortably.
• Don’t be overly cautious. This may sound counterintuitive to the
“safety first” motto, but Piccolo says that parents frequently tend
to go unnecessarily overboard, “doing everything short of bubblewrapping a kid.” If you want your child to wear knee pads and
elbow pads, make sure they aren’t restricting range of motion. If
they are, this will make your child more prone to an accident, and
even instill some measure of fear.
• The sidewalk isn’t necessarily your best option. Instead, Piccolo
recommends riding around a baseball diamond or through a flat field.
“It’s way softer than concrete if your child takes a spill,” he says.
Ready … set … ride!
You can ride around your neighborhood any day, but if you’re looking
for a change of scenery or more adventure, look into trails at these
locations.
• Lewis Morris Park in Morristown
• The Great Swamp in Chatham
• Watchung Reservation in Summit
Piccolo reports that most children begin to show interest in riding a
bicycle—and have the necessary skills to do so—around four years
old. A bicycle in a 12-inch or 16-inch size is great for that age group.
34 | August 2011
Overlookview.com | 35
HEAD
OF THE
CLASS
one of overlook’s finest physicians is honored for his
unique combination of surgical expertise and people
skills, and his standout ability to teach the up-and-coming
generation of surgeons everything he knows.
“Every time you teach someone, you take care of their patients too.”
That’s the philosophy that has guided Marc Mandel, MD, in his role as
assistant clinical professor of surgery at Columbia University, and it
serves him—and his students and patients—quite well. Mandel, the vice
chairman of the Department of Surgery at Overlook Medical Center,
specializes in general and surgical oncology of the breast and abdomen.
For every one patient he treats, there are hundreds more that he will
never meet, but whose lives he will touch nonetheless. Since joining the
Overlook team from Yale University nearly 20 years ago, Mandel has made
a priority of teaching and mentoring the Columbia students who come
to Overlook to complete their residency training, through a partnership
that began between the two institutions in the 1980s. In June, Mandel was
recognized for his efforts with the 2011 Teacher of the Year Award from
the chief residents graduating from Columbia’s Department of Surgery.
36 | August 2011
Overlookview.com | 37
Every time you teach
someone, you take care of
their patients too.
In a speech on behalf of this year’s graduating class, Administrative
Chief Resident Patrick Reavey, MD, lauded Mandel for his excellence.
“Teaching a young doctor how to be a surgeon is not an easy process,”
Reavey acknowledged. “While medical school, surgical textbooks,
and simulators provide a base of knowledge and skill that residents
draw from, much of the learning to become a competent clinician
and surgeon occurs on-the-job with real patients. As the attending
responsible for those patients, being a good teacher requires patience,
trust, confidence, [and] hard work.
Mandel is the second Overlook physician to receive the award, which
usually goes to a full-time faculty member from Columbia University.
Overlook Chief of Surgery Paul Starker, MD, received the award in 2007,
and Mandel is pleased to be in such good company. “Dr. Starker was
already ensconced in his teaching role when I came to Overlook, and I
wanted to emulate him. He and I are the only two off-site professors to win
the award in 20 years.”
I may have done something
for the hundredth time or the
thousandth time, but if it’s the
first time I’m teaching it to a
resident, it’s special.
For Mandel, teaching the next generation of surgeons helps to keep his
job fun and fresh. “I keep trying to find new ways to teach,” he says.
“I may have done something for the hundredth time or the thousandth
time, but if it’s the first time I’m teaching it to a resident, it’s special.
Receiving this award makes me feel good that the residents think I’m
doing a good job, and it makes me want to do an even better job.”
Planning your surgery?
Plan your recovery too!
Post-Surgical, Short-Term Rehab
“While this year’s honoree is outstanding for this type of professional
dedication, he is also exemplary for being dedicated to residents
personally…. This commitment promotes a collegial atmosphere in
and out of the operating room that is without parallel…. This level
of dedication to our professional development would be more than
enough to make Dr. Mandel deserving of this award. However, Dr.
Mandel is equally dedicated to us as people. During operations with
him, he inquires about our lives outside the hospital. He does so with
such genuine interest, enthusiasm, and persistence that by the end of
our four years at Overlook, he has somehow learned more information
about our personal lives than our parents.”
The Teacher of the Year Award, Mandel says, is his greatest
professional achievement. “Part and parcel to being a surgeon is being
a teacher,” he says. “I consider teaching a very important part of my
job—as important as taking care of my patients. Our surgical residents
elevate the hospital; they keep us on our toes. We have to go the extra
mile and not take any shortcuts. We need to set a perfect example, so
that they know the proper way to care for their own patients.”
38 | August 2011
ManorCare Health Services –
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1180 Route 22
West Mountainside, NJ 07092
908.654.0020
ManorCare Health Services –
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144 Gales Drive
New Providence, NJ
908.464.8600
www.hcr-manorcare.com
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PH.D, N.C.Psy.A.
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Specializing in: Relationship
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Medical Arts Center
33 Overlook Road, Suite 210
Summit, New Jersey 07901
908 277-0993
By Appointment
Essential
SLEEP
the time you spend in dreamland is crucial to your
overall health. live better by sleeping well.
It used to be that sleep was thought of as something we all did at the
end of every day, and we didn’t much consider its role in our wellbeing. But it’s no longer a secret that sleep confers benefits of its own,
playing a vital role in how we look and feel on a daily basis, and on
long-term health as well. “Getting enough sleep is the same as anything
else you do to safeguard your health, just like good nutrition, exercise,
and not smoking,” says Federico Cerrone, MD, director of the Atlantic
Health Sleep Centers. Of course, if you’re like most people, getting
enough (and better quality) sleep is easier said than done; our lives are
so overscheduled and there are too many demands on productivity. But
if you make sleep a priority, designating seven to eight hours a day to
rest, you’ll protect your A-game—and your overall health.
• Memory loss and forgetfulness.
• Irritability, poor judgment, slower reaction time, and difficulty
concentrating. (This is especially problematic when you get
behind the wheel. In fact, The National Highway Traffic Safety
Administration estimates that nearly 100,000 car accidents each
year can be linked to driver fatigue.)
What’s the big deal?
• Compromised immune system (i.e., more colds and flu).
“Thanks to all the conclusive studies that have been done on the
importance of sleep, we now know that getting at least six hours of
sleep each night improves our everyday functions,” says Cerrone,
“from boosting our immune systems and metabolism to fine-tuning our
cognitive function and reaction time.”
• Decreased ability to heal from injuries and illnesses.
Unfortunately, poor sleep habits are insidious. It’s easy to become
accustomed to sleeping less, so although you may think you’re
functioning optimally, you’re really not. And although the results of
40 | August
Date 2010
2011
this may be minor and manageable at first, the cumulative effects can
be dire—even deadly. “Research has shown that consistently sleeping
less than six hours a night puts you at greater risk for developing heart
disease,” says Cerrone. But that’s not all. Other consequences of being
chronically sleep-deprived include:
• Weight gain. When we’re tired, not only do we naturally crave
fattening foods like carbs and salty snacks, but the hormone
responsible for making us feel hungry (ghrelin) surges, causing
us to overeat.
• Increased risk of developing high blood pressure.
• Increased risk for depression or exacerbated
depression symptoms.
Overlookview.com | 41
Help for the sleep deprived
If you’re among the 70 percent of adults who don’t get enough sleep,
there are ways to get back on track—starting tonight. The answer lies
in something experts refer to as “sleep hygiene”—creating the ideal
environment for getting the best rest you possibly can. Here’s how:
• “Just like you would with a child, stick to a regular bedtime and
wake time,” says Cerrone. “This trains your body to recognize
when it’s time to power down and rest.”
• Speaking of powering down: “Allow yourself at least 30 minutes to
an hour to relax outside the bedroom before attempting to sleep,”
says Cerrone. “Try watching an innocuous TV show, reading, or
working a crossword puzzle.”
• Don’t do any work before bedtime. “Work is stimulating and will
get your mind racing,” Cerrone says. “This is not conducive to
a restorative night’s rest.” Furthermore, he says, your bedroom
should be a quiet, tranquil space, “which means no TV or
computer. And you definitely shouldn’t bring a laptop or smart
phone to bed.”
• Steer clear of nicotine and caffeine (including caffeinated sodas),
avoiding them entirely after 2:00 p.m. And although many people
rely on a nightcap to help them unwind, Cerrone cautions that
“alcohol is actually a stimulant that can cause you to awaken more
often during the night.”
• Keep the room cool; this has been proven to help you sleep better.
Experts suggest setting the temperature to about 70 degrees and
then lowering or raising it to your liking.
And what if you’re someone who tends to fall asleep easily, only to
wake in the middle of the night? The key here is to actually get out
of bed. Experts suggest leaving the bedroom and sitting in the dark,
reading or watching television until you feel sleepy again. Anxiety over
not being able to sleep often contributes to insomnia.
But I still can’t sleep!
If, after improving your sleep hygiene, you still can’t seem to fall
asleep or stay asleep, there may be a larger problem. Before you talk
to your doctor about a prescription for sleeping pills, Cerrone suggests
trying to get to the root of the problem. “Many people are quick to rely
on medications, and while they do serve a purpose, it’s important to
attempt to identify what’s keeping you awake and address the issue,”
he says. Cerrone often encourages his patients to keep a sleep log or
journal of everything they do in the evening, including what time they
go to bed and wake up, and what they do with the last two hours of the
day. “We then examine these journals and look for a pattern,” Cerrone
explains. Sometimes the solution is as simple as not doing the dishes
before bed, or getting some help for a noisy bed partner.
GO TO SLEEP!
Poor sleep habits are
insidious. It’s easy to
become accustomed
to sleeping less, so
although you may think
you’re functioning
optimally, you’re really
not. And the cumulative
effects can be dire.
The network of Atlantic Health Sleep Centers operates three facilities
at Overlook Medical Center, Morristown Medical Center, and Goryeb
Children’s Hospital with 24 beds in all, making it one of the largest
accredited sleep centers in the tri-state area. “Think of it as one large
sleep center with three different locations,” says Federico Cerrone, MD,
director of the Atlantic Health Sleep Centers. Among the three centers
there are seven physicians on staff, all of whom are Board-certified in
sleep medicine (some also specialize in such complementary fields as
pulmonology, neurology, and pediatrics).
For problems that seem to run deeper, a visit to your physician or
a sleep specialist is in order. “If the problem has been going on for
several months and can’t be linked to one episode, like a death in the
family, losing your job, or taking a new medication, then you should
get help,” Cerrone says. Other signs that you may need medical help
include constantly waking up during the night or going to the bathroom
frequently during the night; sleeping restlessly for a prolonged period
of time; snoring regularly if you have high blood pressure; waking
up with headaches; or always feeling tired, being forgetful, or having
trouble concentrating.
Most sleep disorders can be treated with ease. For example, snoring
often can be alleviated with a sleep positioner to keep you off your
back at night, or with a prescription mouthpiece that positions the
lower jaw to improve airflow. Even more serious conditions like
sleep apnea—a debilitating and potentially life-shortening sleep
disorder characterized by abnormal pauses in breathing or instances of
abnormally low breathing—can be treated effectively. “When dealing
with sleep apnea, I often ask my patients to first try avoiding stimulants
like alcoholic beverages to see if that helps before using any medical
interventions,” says Cerrone. “And since obesity has been linked to
sleep apnea, I also encourage my heavier patients to lose some weight.”
If those measures aren’t enough, a C-PAP (continuous positive airway
pressure) machine can be used to increase air pressure in the throat so
that a patient’s airway doesn’t collapse as they inhale. These devices
work for almost everyone with sleep apnea. Cerrone adds, however,
that “certain sleep apnea patients should have a thorough cardiac
and neurological evaluation, since studies have shown a strong link
between the condition and stroke or heart disease.”
42 | August 2011
Although the thought of sleeping under someone’s watchful gaze
surely seems foreign, a sleep study is one of the easiest diagnostic tests
you’ll ever undergo. What can you expect? Most sleep studies begin
when you report to the clinic, about an hour before you plan to go to
sleep. During this time, you’ll answer questions about what you ate
that day, medications you take, naps, and other lifestyle factors. Around
10:30 or 11:00 p.m., you’ll be attached to various wires and monitors
and you’ll go to bed. As you snooze, a technician watches, monitoring
brain and body functions—everything from brain wave and breathing
patterns to heart rhythms, oxygen levels, and muscle activity—to help
determine the cause of any problems.
At the Atlantic Health Sleep Centers, patients have access to the latest
diagnostic tools in a comfortable setting. All the sleep-testing rooms are
mini-suites with private bathrooms, capturing the look and feel of a fourstar hotel room.
To learn more about the Atlantic Health Sleep Centers,
call (866) 906-5666 or go to www.ahsleepcenters.com.
Overlookview.com | 43
Kaleidoscope
:: A new View on Kids, from the Goryeb Children’s
Center at overlook medical Center
When most adults think about exercise, they imagine working out
in the gym on a treadmill or lifting weights. But for kids, exercise
means playing and being physically active. Kids exercise when they
have gym class at school, soccer practice, or dance class. They’re
also exercising when they’re at recess, riding bikes, or playing tag.
Everyone can benefit from regular exercise, and research shows
that kids who are active will have stronger muscles and bones, and
a leaner body because exercise helps control body fat. They are
also less likely to become overweight as they grow, less at risk for
developing type 2 diabetes (as a child or as an adult), and may have
lower blood pressure and blood cholesterol levels. They even may
have a better outlook on life.
Besides enjoying the health benefits of regular exercise, kids who
are physically fit sleep better and are better able to handle physical
and emotional challenges—from running to catch a bus to studying
for a test.
Kids who are active will have
stronger muscles and bones, and
a leaner body…. They even may
have a better outlook on life.
The Three Elements of Fitness
If you’ve ever watched kids on a playground, you’ve seen the
three elements of fitness in action when they: 1), run away
from the kid who’s “it” (endurance); 2), cross the monkey bars
(strength); and 3), bend down to tie their shoes (flexibility).
Parents should encourage their kids to do a variety of activities
so that they can work on all three elements.
MOVING & GROOVING
When kids engage in playground fun and simple activities,
they build a foundation for the lifelong benefits of exercise.
Endurance is developed when kids regularly engage in aerobic
activity. During aerobic exercise, the heart beats faster and a
person breathes harder. When done regularly and for continuous
periods of time, aerobic activity strengthens the heart and
improves the body’s ability to deliver oxygen to all its cells. A
great way for older kids to help maximize the return on their
endurance workouts is to use their heart rate as a guide. By doing
this, they can plan their training goals to lose body fat, build
stamina, and delay fatigue. Heart-rate zones have been identified
to help us train more effectively and avoid “staleness” by making
us work harder in response to our heart becoming stronger and
more efficient.
Improving strength doesn’t have to mean lifting weights.
Although some kids benefit from weightlifting, it should be done
under the supervision of an experienced adult who works with
44 | August 2011
them. Most kids don’t need a formal weight-training program to be
strong. Push-ups, stomach crunches, pull-ups, and other exercises help
tone and strengthen muscles. Kids also incorporate strength activities in
their play when they climb, do a handstand, or wrestle.
Stretching exercises help improve flexibility, allowing muscles and
joints to bend and move easily through their full range of motion. Kids
look for opportunities every day to stretch when they try to get a toy just
out of reach, practice a split, or do a cartwheel.
What if Exercise Seems Difficult?
Not all children have the same level of fitness. Some of our capacity to
exercise is inherited, and part is due to our level of conditioning. Not all
of our children are destined to be elite athletes, but all have the capacity
to engage in sports or physical activities. If a child gets winded earlier
than his or her classmates, this sometimes can be due to deconditioning.
For many other children, there may be a medical issue with their
breathing that is limiting their exercise.
One common condition of childhood that can limit the capacity for
exercise is asthma. Asthma is surprisingly common, now affecting at
least 15 percent of our kids. Luckily, there are a variety of breathing
tests that allow us to better diagnose this condition, and safe and
effective treatments available to treat it. In our labs at the Respiratory
Center for Children, we can evaluate breathing at baseline and during
and after exercise, and distinguish between medical conditions (such
as asthma and deconditioning) that may limit exercise. After diagnostic
testing, a treatment plan—based on exercise and, if necessary,
medications—can be prescribed. With a proper treatment plan, every
kid should be able to participate in physical activities.
Kids already involved in sports also can benefit from an exercise
assessment. A conditioning program can increase aerobic capacity
in most athletes. In our labs, we can measure aerobic capacity and
maximal heart rate, and devise a conditioning program using heartrate zone training to maximize potential. At the Respiratory Center
for Children, we have a keen interest in assisting your child to achieve
their exercise potential and to develop and maintain healthy activity
throughout their life.
By David G. Scott, MS, NASM-PES, exercise physiologist and
coordinator of the Pediatric Exercise Physiology Goryeb Kidfit &
Athlete Performance Program; and David M. Cooper, MD, MPH,
pediatric pulmonologist and director of the Pediatric Exercise and
Extreme Environments Laboratory. Both are part of the Respiratory
Center for Children at Goryeb Children’s Center at Overlook Medical
Center and Goryeb Children’s Hospital at Morristown Medical
Center. To learn more about the services and specialists at the Goryeb
Children’s Center, visit www.atlantichealth.org/Goryeb.
Overlookview.com | 45
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Patients undergo approximately 20 treatment
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How many treatments will be needed
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It is important to note that many get relief after
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news & Views
:: A Compendium of the new and noteworthy
In Praise of Pets
Do It for Your Kids!
If you smoke, you already know all the reasons you should kick the habit—and
now comes another. A new study from the American Academy of Pediatrics (AAP)
reveals that children who are exposed to secondhand smoke in the home have a 50
percent greater risk of developing neurobehavioral disorders. The study, conducted
by the Centers for Disease Control and Prevention and the National Center for Health
Statistics, estimates that nearly 5 million children younger than 12 are exposed to
secondhand smoke at home, and as many as 8 percent of them suffer from learning
disabilities, ADHD, and other behavioral disorders. In another study from the AAP,
researchers evaluated children 8 to 13 years old who lived in households with at least
one adult smoker, and found that those who described the smell of cigarette smoke as
“unpleasant” or “gross” were 78 percent less likely to start the habit than peers who
had a more passive reaction to the smell.
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ow
two weeks,
Before your kids head back to school, take heed: Watching television or playing video games close to
bedtime is like a jolt of caffeine for young children, making them more prone to experience nightmares or
difficulty falling asleep, and also more susceptible to daytime fatigue. A study of more than 600 children ages
3 to 5, reported recently in the journal Pediatrics, demonstrated that 28 percent of preschoolers who watched
television or played video games for at least 30 minutes after 7:00 p.m. had sleep problems most nights of the
week, compared to 19 percent of children whose TV time and video-game use took place only before 7:00
p.m. Moreover, violent programming and video games appeared to contribute to sleep problems too, even
among kids who engaged in them during the daytime.
Dogs have long been thought of as man’s best friend, and now science supports the notion. Psychologists
at Miami University and St. Louis University have found that the emotional benefits of pet ownership
can be equal to those of human friendships. The findings are based on a series of three experiments.
In one part, questionnaires required responders to assess such variables as self-esteem, depression,
loneliness, and illness. Pet owners scored far better overall, demonstrating higher self-esteem and
less lonely tendencies. The study also found that pet owners experienced greater physical fitness and
exercised more (perhaps because they are walking their dogs). In another experiment, expanding on the
original questionnaire, dog owners provided additional information about how they related to their pets.
Researchers repeatedly observed evidence that people who enjoyed greater benefits from their pets also
were closer to other important people in their lives and “received more support from them, not less.” In the
third experiment, undergraduate students were asked to write about a socially alienating experience and
then write about a favorite friend or pet. Here, feelings of exclusion were equally remedied by passages
about friends as by those that focused on pets. Concluded researchers: “If pets are ‘psychologically close’
to their owner, they may provide well-being benefits for the owner just like any other person.”
Predicting Miscarriage
For the thousands of women who suffer miscarriages each year, one question always seems to
linger: “Why?” Now comes word that a team of British fertility researchers may have developed
an accurate way to predict which pregnancies are most likely to miscarry—and their findings
could help doctors target treatment plans for women who need them most. In a study presented at
a European conference this summer, researchers revealed the six factors that they found to have the
greatest determination on miscarriage risk: a history of subfertility, levels of progesterone and of
the pregnancy hormone human chorionic gonadotropin (hCG), fetus length, extent of bleeding, and
gestational age. Individually, these factors were unable to predict accurately the risk of miscarriage,
but when the researchers combined two factors to create what they call a Pregnancy Viability Index,
they found this was a consistently reliable predictor of miscarriage.
Go Green!
A powerful stress buster may be as near as your own backyard. A recent study from
the Netherlands shows that gardening wards off stress even better than other leisure
activities. In the study, two groups of people were instructed to complete a stressful
task, and then read indoors or garden for 30 minutes. Those who gardened reported
being in a better mood than the reading group, and they also had lower levels of the
stress hormone cortisol. So the next time you feel yourself seeing red, go green!
Stand tall! Researchers
have found that
having a “dominant” postu
re—versus a slouchy,
submissive one—decrease
s sensitivity to pain.
48 | August 2011
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Overlookview.com | 49
Photography101
About the Photographer
with Tom Sperduto
Tom Sperduto is an award-winning
editorial and commercial photographer.
TRAVEL & VACATION PHOTOGRAPHY
He is recognized as the most published
and award-winning photographer in U.S.
Coast Guard history. Tom enjoys teaching
photography and regularly leads photo
workshops for the National Photographers
Press Association, the American Society
of Media Photographers, and the
Department of Defense. Tom also is a
regular guest speaker at Rutgers and
Syracuse universities.
Do you have a photography question?
E-mail your question to
[email protected] and
look for Tom’s answer in an upcoming
issue. To see more of Tom’s work, visit
What’s one of the highlights of returning from a vacation? Sharing
your photos, of course! The pictures we take on vacation have the
ability not just to remind us of where we were but how we felt while
we were there. Before you embark on your next trip, consider these
tips for capturing wonderful sites, people, and family memories.
Be a Storyteller
Keep your camera close during the entire trip and capture the vacation from
start to end. Be sure to focus on the moments that are often over looked
in vacation photos. An image of your children packing for vacation, for
example, or your child peeking out the airplane window in wonder can
easily become a vacation favorite. Kids jumping on the bed in a Disney
World hotel room can also become a vacation memory because it shows
the excitement of where you are. Keep a keen eye out, and don’t forget the
details. A simple, peaceful picture of a cool drink on a beautiful beach may
be all you need to remember how wonderful you felt getting away from it all.
Discover an Action Star
Travel and vacation photo albums often are filled with photo after
photo of people smiling at the camera. If you are photographing
locals in a new and exciting place, don’t be surprised if they stop
what they are doing and smile at the camera. A simple trick to avoid
this—and avoid the all-too-familiar “snapshot”—is to ask the person to
demonstrate what he or she was doing. Pictures of people doing things
are often more interesting than people looking at the camera.
Get Closer
It was legendary photographer Robert Capa who said, “If your pictures
aren’t good enough, you’re not close enough.” There’s truth to his
words. Oftentimes, all we need to do to make a better picture is to
get closer. To make this a practice and see a remarkably improved
difference in your photos, always take three steps forward, recompose,
and take another photo. So the next time you’re snapping a family photo
by the Lincoln Memorial or another memorable location, remember to
get closer—a lot closer; you’ll see the difference in your photos.
50 | August 2011
www.tomsperduto.com.
Explore Different Angles
Everything becomes more interesting when seen from different angles. Simply getting lower
or shooting from a high angle has tremendous potential to improve your travel photography.
This is especially true when your subject is a stationary object like a building, a boat, or even
your nephew.
Be Creative, and Have Fun!
Make your vacation photos more exciting and fun by making them creative. Having people
jumping in a photo, for instance, can often make a photo come alive. Having the family roll
around in the sand on the beach can be a lot of fun—and may soon become a favorite vacation
family photo. If you think about what makes your family unique and different, and if you can
capture this in a family vacation photo, you will have picture memories to last a lifetime.
Overlookview.com | 51
With Overlook’s
Chef Mike
Michael Atanasio is the manager of Food & Nutrition for Overlook Medical
Center. He has more than 25 years of experience in the restaurant and
healthcare industries and has competed in and won numerous culinary
competitions. In 2000, he was named Chef of the Year.
SMOKED TuRKEY AND
APRICOT QuESADILLAS
Try this recipe for a quick and delicious dinner.
Serve by itself, or pair it with your favorite green
salad. Makes four servings.
INGREDIENTS
8 flour tortillas, taco size
NUTRITION ANALYSIS
(per serving)
5 ounces brie cheese, sliced and
divided into 4 equal parts
Calories: 452
¾ pound smoked turkey breast,
thinly sliced and divided into 4
equal parts
Cholesterol: 83.3 mg
½ cup apricot preserves, divided
into 4 equal parts
1 cup shredded Monterey Jack
cheese, divided into 4 equal parts
Helpf
ul
1. Set up skillet or frying pan over medium heat and lightly
butter or oil when ready to cook.
Total Carbohydrates: 39.8 g
2. Lay out 4 tortillas. Top each tortilla with brie, smoked turkey,
apricot preserves, and Jack cheese. Top with remaining
tortillas.
Protein: 34.3 g
Fiber: 5.2 g
3. Place quesadillas on hot, oiled cooking surface for 3 to 4
minutes per side or until cheese has melted, flipping with a
spatula. Serve hot with a dollop of sour cream or guacamole,
or just by itself.
Sodium: 749.6 mg
Potassium: 332.6 mg
k
Hints
PREPARATION
Total Fat: 18.1 g
Quesadillas are very versatile: They cook in minutes, can be stuffed
with anything, can be used as an appetizer or entrée, and are
always a crowd pleaser. Try them rolled and cooked on a panini
grill as a great meal “to go” or just fun finger foods for the kids.
52 | August 2011
Tortilla:
A round, thin, unleavened bread made from ground
maize. When the conquistadores arrived in the New World in
the fifteenth century, they discovered that the inhabitants made
flat corn breads called tlaxcalli; the Spanish gave them the name
tortilla. Fresh tortillas are eaten as bread, used as a plate or
spoon, or filled to make such dishes as tacos and enchiladas.
Our Clients
Speak for Us
“Home Care Assistance has exceeded my wildest expectations.
Our caregiver, Mary, is almost like family and has helped my
Mom feel better and enjoy her life again, even though she is
homebound. We can’t recommend Home Care Assistance
highly enough.”
—Fran, Westfield, NJ
Home Care Assistance is the leading provider of non-medical,
in-home care. Our services—and clients—speak for themselves.
Need help immediately? Want to know
more? Call us today.
908-668-8200
www.HomeCareAssistance.com
53 Mountain Blvd., Warren, NJ 07059
Foundation Happenings
New Caregivers Center at Overlook Opening
Celebrating the opening of the Thomas Glasser Caregivers Center at Overlook Medical Center were: Overlook Chief Nursing Officer Mary Pat Sullivan and President Alan
Lieber, Gerry Glasser, Meg Glasser, Claude Fusco, and Overlook’s Sue Thomas and Lydia Nadeau, who oversaw planning for the center. In the foreground, Dylan and Luke
Glasser, sons of the late Thomas Glasser, prepare to cut the ribbon.
Friends of Overlook Medical Center gathered in June to dedicate the newly
completed Thomas Glasser Caregivers Center at Overlook, designed to help
caregivers effectively manage the stress and special needs associated with
caring for a critically, chronically, or terminally ill loved one.
The concept behind the Caregivers Center was inspired by the late Kathryn Fusco,
whose family attended the ribbon-cutting ceremony and reception. Here, her husband
Claude (second from left) is surrounded by their children: Diana, Claude, and Emily.
Conducting one of many tours through the newly completed center, Sue Thomas,
manager of the patient experience at Overlook, shows guests the carefully selected
décor and furnishings designed to provide a tranquil environment for all who enter.
When the Overlook Foundation undertook the effort to raise an
estimated $3.25 million for a caregivers center in 2009, the Thomas
Glasser Foundation was the first to step up with a lead challenge gift
that propelled the initiative forward. Just two years later, the Thomas
Glasser Caregivers Center at Overlook is up and running, thanks to the
generosity of a host of donors.
Thomas Glasser, believes that the center serves as a fitting tribute as well:
“Frankly, Tommy’s memory was important to me. He was a wonderful
person with a beautiful family and involved in the community. A
project like this that helps people in the area is something that would be
consistent with his outlook.”
For Summit resident Arthur Williams III, his interest in the project
stemmed from all the care his wife, Sandra, has given to others. “She took
care of my mother, my father, and her father as they aged and became
dependent, not to mention our children and grandchildren through the
years. She provided this care selflessly, but nevertheless I’ve seen the
costs and stress that doing that has involved. My gift for the [Caregivers
Center’s] conference room in her honor was aimed at making certain that
caregivers like her can benefit from the center’s support.”
Other lead donors, like past Board Chair Betsy Compton and her husband,
Eric Grubman, see the center as a welcome addition to a medical center that
prides itself on caring for patients and their families through a collaborative
approach that touches the mind, body, and spirit. “We decided to support
this unique and much-needed project for all those family members who
are struggling to cope with the illness of a loved one. The Thomas Glasser
Caregivers Center will provide a place of respite and access to a variety of
resources during one of the most difficult time in their lives.”
Located off the main lobby of the hospital, the center will blend bedside
social support services for caregivers with a tranquil space for rest,
therapeutic services, and resource referrals. The program will provide
emotional support and encouragement to caregivers as they navigate
healthcare services for their loved ones.
As for Claude Fusco, another leadership donor who headed the fund-raising
effort, the opening of the Thomas Glasser Caregivers Center at Overlook
serves as both an end and a beginning. “Tonight I am a happy man,”
remarked Claude at the June ribbon-cutting ceremony, pleased that his idea
for the creation and endowment of such a program has become a reality.
Inspired by his own experience in facing the lengthy illness of his late wife,
Kathryn, Claude and his children hope that the center will serve as a source
of comfort and support for future generations of caregivers.
“This restful space would not have been possible without the Fusco family’s
vision and dedication,” reads a plaque on one of the center’s walls. Nor
would it have been possible without the many donors who understood the
importance of our patients’ caregivers and reached out a hand to help.
Organizations within the Overlook family, including the Auxiliary and
the Community Health Committee, in addition to longtime corporate
supporters like Merck, also stepped up in a big way. “At Merck we believe
our giving should support local initiatives as well as address global health
concerns,” explains Ellen Lambert, executive vice president of the Merck
Company Foundation. “The Caregivers Center is a wonderful example of
how a community can come together around the needs of patients and their
families to develop a model of support that benefits the entire community.
We are honored to be a part of this special program.”
Relaxation therapies such as massage, guided meditation, gentle touch
therapy, reiki, and pet visitation will all enhance the experience in the
center, which also features dedicated areas for counseling and private
discussions, as well as a kitchenette and computers for caregivers to check
e-mail and conduct online research.
Westfield resident Claude Fusco presented the idea of a caregivers center
to Overlook Medical Center and Overlook Foundation administrators
following the death of his wife, Kathryn, from lung cancer in 2006. The
lead gift for the project came from the Thomas Glasser Foundation, created
in memory of Summit resident Thomas Glasser who died in the World
Trade Center on September 11, 2001.
54 | August 2011
Donors’ Generosity Makes Center a Reality
Family of the late Thomas Glasser was on hand for the dedication, including
(clockwise from top left): his father Gerry, past chairman of the Overlook
Foundation Board of Trustees; wife Meg; and sons Luke and Dylan.
For some donors, like Mr. and Mrs. Donald Weeden of Summit, it’s an
opportunity to help the community, to put in place a resource that anyone
who has cared for a loved one can appreciate. Westfield residents Jim and
Lois Pinkin know firsthand the wide range of support needed to navigate
medical care and wanted to bring that to Overlook for their friends and
neighbors. Fellow Westfielder Gale Metzger agrees and, having known
Overlookview.com | 55
Atlantic Health System
99 Beauvoir Avenue
P.O. Box 220
Summit, NJ 07902-0220
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Organization
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